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Feasibility of an iterative rehabilitation intervention for stroke delivered remotely using mobile health technology.
Conclusions: Strategy training can be adapted for delivery using mobile health technology, with careful consideration to methods for training participants on new technology and the intervention delivery. Future research should establish the efficacy and effectiveness of integrating mobile health in delivery of interventions that promote engagement in client-selected activities and community participation. Implications for rehabilitation Translating the strategy training intervention from face-to-face to remote delivery required thoughtful adaptation of the intervention protocol. Strategies for training clients to use mobil...
Source: Disability and Rehabilitation. Assistive Technology. - June 18, 2019 Category: Rehabilitation Authors: Kringle EA, Setiawan IMA, Golias K, Parmanto B, Skidmore ER Tags: Disabil Rehabil Assist Technol Source Type: research

The prevalence of frailty among acute stroke patients, and evaluation of method of assessment.
CONCLUSION: Frailty is present in around one in four patients with acute stroke; if pre-frailty is included, then a frailty syndrome is seen in three out of four patients. The Frailty Index is a valid measure of frailty in stroke; however, there is little agreement between this scale and other measurements of frailty. PMID: 30971115 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 9, 2019 Category: Rehabilitation Authors: Taylor-Rowan M, Cuthbertson G, Keir R, Shaw R, Drozdowska B, Elliott E, Stott D, Quinn TJ Tags: Clin Rehabil Source Type: research

A SMART Approach to Improve Cognition in Chronic Stroke
To examine the effects of a cognitive training called Strategic Memory Advanced Reasoning Training (SMART) on cognition and daily life in adults with chronic stroke. Deficits in abstract reasoning can impact strategic thinking and problem solving in daily life for stroke survivors. The top-down SMART program teaches executive function strategies of strategic attention, integrated reasoning, and innovation to improve daily functioning.
Source: Archives of Physical Medicine and Rehabilitation - November 21, 2018 Category: Rehabilitation Authors: Saija Ladik, Asha Vas Tags: Research poster Source Type: research

Mental contrasting with implementation intentions (MCII) improves physical activity and weight loss among stroke survivors over one year.
Objective: Stroke is the most common cause of physical impairment, and having already had a stroke dramatically increases the risk of having another one. Although greater physical activity lowers rates of stroke recurrence, patients often fail to act in line with this recommendation. The present intervention tested whether teaching the self-regulation strategy of mental contrasting (MC) with implementation intentions (II; MCII) improves stroke patients’ physical activity and weight loss over 1 year compared with 2 information-only, control interventions. Research Method: Participants were 183 stroke survivors who were ca...
Source: Rehabilitation Psychology - December 21, 2017 Category: Rehabilitation Source Type: research

SMART approach: Executive Function training for Chronic Stroke
To examine feasibility of a cognitive training called Strategic Memory Advanced Reasoning Training (SMART) in adults with chronic stroke. The SMART program teaches strategies of strategic attention, integrated reasoning, and innovation to improve executive functions and performance in various aspects of daily-life.
Source: Archives of Physical Medicine and Rehabilitation - November 22, 2017 Category: Rehabilitation Authors: Asha Vas, Jennifer Burns, Emily Rich, Sarah Taylor Tags: Research poster Source Type: research

SAFE Medication Management for Patients with Physical Impairments of Stroke, Part Two.
CONCLUSIONS AND CLINICAL RELEVANCE: The rehabilitation nurse uses observation, skills, and experience to assess stroke patients' needs and develop strategies to assist the patient in managing their medications. Involving patient, family, and caregivers in the teaching of SAFE (Systematic, Accurate, Functional, Effective) medication management increases safety, decreases the number of adverse drug events and prevents hospitalizations. PMID: 27353573 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - June 28, 2016 Category: Rehabilitation Authors: Yetzer E, Blake K, Goetsch N, Shook M, St Paul M Tags: Rehabil Nurs Source Type: research

Falls and fear of falling after stroke: a case-control study
Conclusions Compared to non-stroke individuals, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in stroke were not explained by any of the outcome measures used, while fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factor with which to devise future prevention strategies for falls in stroke patients.
Source: PMandR - June 3, 2016 Category: Rehabilitation Source Type: research

Quasi-experimental evaluation of a home care model for patients with stroke in China.
Conclusions Home care may be associated with higher quality of life and reduced dependency among stroke patients in China. Implications for Rehabilitation Home care can be effective method at improving the physical and psychological well-being of stroke survivors in China. The home care model in this study can improve health outcomes as well as reduce healthcare resources utilisation. Home care models for stroke survivors should be adapted to local healthcare policies and resources. PMID: 26824752 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Chen L, Sit JW, Shen X Tags: Disabil Rehabil Source Type: research

Management of Fever, Hyperglycemia, and Dysphagia in an Acute Stroke Unit.
CONCLUSIONS: Current practice does not reflect best practice. Barriers to research translation are currently unclear but must be overcome to improve care quality for stroke survivors. Multifaceted interventions to ensure uptake of care protocols are required. CLINICAL RELEVANCE: Consistent provision of evidence-based practice needs to be available to ensure patients are provided with the best nursing care following stroke. PMID: 26463673 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - October 14, 2015 Category: Rehabilitation Authors: Kenny T, Barr C, Laver K Tags: Rehabil Nurs Source Type: research

Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study.
CONCLUSION: It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods. PMID: 25952590 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 7, 2015 Category: Rehabilitation Authors: Rosewilliam S, Sintler C, Pandyan AD, Skelton J, Roskell CA Tags: Clin Rehabil Source Type: research

Surface Peroneal Nerve Stimulation in Lower Limb Hemiparesis: Effect on Quantitative Gait Parameters
This study is a randomized controlled clinical trial. Setting: The setting of this study is a teaching hospital of an academic medical center. Participants: One hundred ten chronic stroke survivors (>12 wks poststroke) with unilateral hemiparesis participated in this study. Interventions: The subjects were randomized to a surface peroneal nerve stimulation device or usual care intervention. The subjects were treated for 12 wks and followed up for 6-mo posttreatment. Main Outcome Measures: Spatiotemporal, kinematic, and kinetic parameters of gait were the main outcome measures. Results: Cadence (F3,153 = 5.81, P = 0.012), s...
Source: American Journal of Physical Medicine and Rehabilitation - April 18, 2015 Category: Rehabilitation Tags: Original Research Articles: CME Article . 2015 Series . Number 5 Source Type: research

SAFE Medication Management for Patients with Physical Impairments of Stroke, Part One.
Conclusion and Clinical Relevance: Teaching SAFE (Systematic, Accurate, Functional, Effective) medication management to the patient, family, and caregivers will increase medication safety and decrease the number of adverse effects. The rehabilitation nurse is charged with evaluating the patients' needs and developing strategies to assist them to manage their medications. PMID: 25447351 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - November 28, 2014 Category: Rehabilitation Authors: Yetzer E, Blake K, Goetsch N, Shook M, St Paul M Tags: Rehabil Nurs Source Type: research

Prognostic factors for discharge destination after acute stroke: a comprehensive literature review.
Conclusion: Patient initial medical care, age and sex, neurological and medical complications and environmental/socio-economic factors should be considered in the decision-making process for discharge destination. [Box: see text]. PMID: 25250810 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Van der Cruyssen K, Vereeck L, Saeys W, Remmen R Tags: Disabil Rehabil Source Type: research

Randomized Controlled Trial of Surface Peroneal Nerve Stimulation for Motor Relearning in Lower Limb Hemiparesis
Abstract: Objective: To compare the motor relearning effect of a surface peroneal nerve stimulator (PNS) versus usual care on lower limb motor impairment, activity limitation, and quality of life among chronic stroke survivors.Design: Single-blinded randomized controlled trial.Setting: Teaching hospital of academic medical center.Participants: Chronic stroke survivors (N=110;>12wk poststroke) with unilateral hemiparesis and dorsiflexion strength of ≤4/5 on the Medical Research Council scale.Interventions: Subjects were stratified by motor impairment level and then randomly assigned to ambulation training with either a su...
Source: Archives of Physical Medicine and Rehabilitation - February 11, 2013 Category: Rehabilitation Authors: Lynne R. Sheffler, Paul N. Taylor, Douglas D. Gunzler, Jaap H. Buurke, Maarten J. IJzerman, John Chae Tags: Journal-Based CME Article Source Type: research

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